Society Workshop Request Form Requestor Name:Requestor Email:Association Name:Association Website:Exhibit/Conference Name:Exhibit/Conference Date:Conference Format:In-Person(only)Virtual(only)HybridTotal # of expected exhibit attendees:Number of HCP's expected in the workshop:Workshop Date:Workshop Time:Duration:What is the Workshop presentation format?LivePre-recordedCombinationArthrex PreferenceLocation (Venue, City & State):Workshop Fee(Proposed):Program Chair:Proposed Faculty:Will Arthrex select faculty?YesNoWorkshop Focus:ArthoplastyElbowFoot & AnkleHand & WristHipImaging & ResectionKneeOrthobiologicsShoulderSpineTraumaWorkshop Type:CadaverDidacticLive SurgerySawbonesEquipment OnlyN/AIf equipment only, please select the type of procedure this equipment request applies to:OpenArthroscopyDoes your request require tower and/or video equipment with powered instruments?YesNoIf yes, number of stations requested:Product Focus / Agenda:Exclusive or joint workshop (other manufacturers represented):Does the workshop offer CME's?YesNoWill the workshop be offered during CME lecture hours?YesNoIs the association registering / promoting workshop during the overall exhibit registration process?YesNoIf No, will the association provide a pre-registration list to Arthrex?YesNoAttendee Demographics:Is Arthrex being asked to provide food & beverage?YesNoSubmit